स्त्री तथा प्रसूति र बाल रोग – ObGyn & Pediatrics MCQ
स्त्री तथा प्रसूति र बाल रोग – MD/MS प्रवेश
ObGyn & Pediatrics · MECEE-PG – MD/MS/MDS Entrance · ५९० प्रश्न
५९० प्रश्न उपलब्ध। मोड छान्नुहोस्:
स्त्री तथा प्रसूति र बाल रोग: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A 32-year-old woman at 38 weeks gestation complains of sudden onset of bright red vaginal bleeding with passage of small clots. Her cervix is soft, reducible, and shows no evidence of effacement or dilation. What is the MOST likely diagnosis?
सही उत्तर: ग) Vasa Previa
Abruptio placenta, where part of the placenta separates from the uterine wall prior to delivery, typically presents with sudden vaginal bleeding. Vasa previa is associated with cervical friability and bleeding, but usually involves more significant blood loss. Placenta previa involves a low-lying placenta, while colostrum leakage doesn’t cause bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 28-year-old woman presents with symptoms including vaginal bleeding following sexual intercourse (mittelschmerz), painful periods, and abnormal uterine bleeding. Which diagnostic test would be MOST definitive in confirming the diagnosis?
सही उत्तर: ख) Hysteroscopy
Hysteroscopy, a procedure that allows direct visualization of the uterine cavity, is considered the gold standard for diagnosing endometriosis. While ultrasound and MRI can detect some signs, they aren't as definitive as hysteroscopy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with jaundice accompanied by lethargy, poor feeding, and high-pitched crying. Blood tests reveal elevated levels of unconjugated bilirubin. What is the MOST likely cause?
सही उत्तर: घ) Hemolytic Anemia
Hemolytic anemia, characterized by increased red blood cell breakdown, leads to elevated unconjugated bilirubin levels. Breastfeeding jaundice can occur, but typically doesn't present with this severe clinical picture. Crigler-Najjar syndrome and Gilbert’s Syndrome are rare causes of hyperbilirubinemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant is brought in for follow-up after being diagnosed with iron deficiency anemia. Which of the following interventions would be MOST appropriate at this stage?
सही उत्तर: क) Administration of Ferrous Sulfate drops at 20mg daily
Ferrous sulfate is the standard treatment for iron deficiency anemia in infants. While dietary restrictions are not generally recommended, and preventative medications may be considered, direct administration of iron is the most effective immediate intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents at 36 weeks gestation complaining of severe lower back pain. Clinical examination reveals a positive Trendelenburg sign. Which of the following conditions is MOST likely in this scenario?
सही उत्तर: ख) Pre-eclampsia
Pre-eclampsia, characterized by hypertension and proteinuria, often presents with lower back pain due to renal involvement and a positive Trendelenburg sign. Gestational diabetes may cause some discomfort but doesn’t typically present with this specific symptom. Multiple pregnancy can lead to musculoskeletal strain, but not usually associated with a positive Trendelenburg sign.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions would be MOST appropriate for the initial management of respiratory distress in a preterm infant (under 32 weeks gestation) exhibiting signs of RDS (Respiratory Distress Syndrome)?
सही उत्तर: ग) Initiation of surfactant therapy
Initiating surfactant therapy is the standard and most effective initial intervention for preterm infants with RDS. A Nasal Gastric Tube should be avoided as it can cause aspiration. Continuous gastric residual pressure monitoring and manual ventilation are supportive measures but not the primary treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 20 weeks gestation presents with sudden onset of severe headache, visual disturbances, and transient proteinuria. Which of the following blood pressure readings would be MOST indicative of pre-eclampsia?
सही उत्तर: ग) 160/100 mmHg
Pre-eclampsia is defined as new-onset hypertension with proteinuria or end-organ dysfunction. A blood pressure reading of 140/90 mmHg strongly suggests pre-eclampsia in a pregnant woman presenting with these symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the MOST likely diagnosis in a newborn exhibiting characteristic 'olive-shaped' testes?
सही उत्तर: घ) Cryptorchidism
The olive-shaped testes in newborns signifies undescended testicles. Klinefelter syndrome involves a male with an extra X chromosome, Congenital Adrenal Hyperplasia causes virilization and ambiguous genitalia, and Cryptorchidism is the general term for undescended testicles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain. Ultrasound reveals a large fibroid that has significantly increased in size during the second trimester. Which of the following is the MOST probable explanation for this presentation?
सही उत्तर: ख) B) Rapid uterine growth and vascular congestion within the fibroid
Option B is correct. The key factor here is the second-trimester timing, which correlates with significant fetal growth and subsequent pressure on the uterus. This increased pressure can cause vascular congestion within the fibroid, leading to acute pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following symptoms is most indicative of early pregnancy, as described by Hegar's sign?
सही उत्तर: ग) C) Palpable Uterine Soft Encasement
Option C represents Hegar’s sign. This palpable uterine soft encasement is a characteristic physical finding in early pregnancy, demonstrating the expanding uterus and fluid accumulation. The other options can occur in early pregnancy but don't specifically define this key indicator.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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